Neurosurgical Care of Nonpowder Firearm Injuries: A Narrative Review of the Literature
Background. Nonpowder firearms discharge a projectile using compressed gases. Unlike traditional firearms, there is a perception that nonpowder guns do not cause serious injury. However, intracranial injury disproportionally affects children and can cause significant neurological disabilities and mo...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2019/4680184 |
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| _version_ | 1849306746660585472 |
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| author | Yizhou Wan Stewart Griffiths Mario Ganau |
| author_facet | Yizhou Wan Stewart Griffiths Mario Ganau |
| author_sort | Yizhou Wan |
| collection | DOAJ |
| description | Background. Nonpowder firearms discharge a projectile using compressed gases. Unlike traditional firearms, there is a perception that nonpowder guns do not cause serious injury. However, intracranial injury disproportionally affects children and can cause significant neurological disabilities and mortality. Management of nonpowder firearm injuries has received little attention in the literature and presents unique surgical challenges. Materials and Methods. We conducted a narrative review of the literature of the management of nonpowder firearm injuries with particular emphasis on intracranial injury. Results. Modern nonpowder firearms have muzzle velocities which are capable of penetrating the skin, eyes, and bone. Direct intracranial injury commonly results from entrance of projectile through thinner portions of the skull. Operative intervention is needed to debride and safely explore the trajectory to remove fragments which can easily cause neurovascular injury. Conclusions. Neurosurgeons play a crucial role in managing serious nonpowder firearm injuries. A multidisciplinary team is needed to manage the direct results of penetrating injury and long-term sequalae. |
| format | Article |
| id | doaj-art-23943e42c2d94336935c8a87a8bc9727 |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-23943e42c2d94336935c8a87a8bc97272025-08-20T03:54:57ZengWileyEmergency Medicine International2090-28402090-28592019-01-01201910.1155/2019/46801844680184Neurosurgical Care of Nonpowder Firearm Injuries: A Narrative Review of the LiteratureYizhou Wan0Stewart Griffiths1Mario Ganau2Department of Neurosurgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UKDepartment of Neurosurgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UKDepartment of Neurosurgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UKBackground. Nonpowder firearms discharge a projectile using compressed gases. Unlike traditional firearms, there is a perception that nonpowder guns do not cause serious injury. However, intracranial injury disproportionally affects children and can cause significant neurological disabilities and mortality. Management of nonpowder firearm injuries has received little attention in the literature and presents unique surgical challenges. Materials and Methods. We conducted a narrative review of the literature of the management of nonpowder firearm injuries with particular emphasis on intracranial injury. Results. Modern nonpowder firearms have muzzle velocities which are capable of penetrating the skin, eyes, and bone. Direct intracranial injury commonly results from entrance of projectile through thinner portions of the skull. Operative intervention is needed to debride and safely explore the trajectory to remove fragments which can easily cause neurovascular injury. Conclusions. Neurosurgeons play a crucial role in managing serious nonpowder firearm injuries. A multidisciplinary team is needed to manage the direct results of penetrating injury and long-term sequalae.http://dx.doi.org/10.1155/2019/4680184 |
| spellingShingle | Yizhou Wan Stewart Griffiths Mario Ganau Neurosurgical Care of Nonpowder Firearm Injuries: A Narrative Review of the Literature Emergency Medicine International |
| title | Neurosurgical Care of Nonpowder Firearm Injuries: A Narrative Review of the Literature |
| title_full | Neurosurgical Care of Nonpowder Firearm Injuries: A Narrative Review of the Literature |
| title_fullStr | Neurosurgical Care of Nonpowder Firearm Injuries: A Narrative Review of the Literature |
| title_full_unstemmed | Neurosurgical Care of Nonpowder Firearm Injuries: A Narrative Review of the Literature |
| title_short | Neurosurgical Care of Nonpowder Firearm Injuries: A Narrative Review of the Literature |
| title_sort | neurosurgical care of nonpowder firearm injuries a narrative review of the literature |
| url | http://dx.doi.org/10.1155/2019/4680184 |
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